Organization
MEDICAL PLAZA UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADD J SCRIBER M.D. (PARTNER/PRESIDENT)
(870) 932-2926
Entity
Organization
Contact information
Practice address
303 E MATTHEWS AVE, SUITE 200, JONESBORO, AR 72401-3150
(870) 932-2926
(870) 932-1560
Mailing address
PO BOX 1513, JONESBORO, AR 72403-1513
(870) 932-2926
(870) 932-1560
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101735002
—
AR
01
—
CH0852
RAILROAD MEDICARE
AR
Enumeration date
02/02/2006
Last updated
04/25/2008
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